Treating Low-T, Erectile Dysfunction, and Premature Ejaculation.

Erectile Dysfunction

What is ED?

Erectile Dysfunction (ED) is a very prevalent men’s sexual health condition. It impacts as many as half of all men 40-years-old and up. ED occurs when a man is unable to reach a state of erection or maintain it during intercourse. The condition itself is not considered dangerous; however, what could be causing ED in a man can be more serious, even life-threatening. These issues can include: a heart condition, systematic vascular disease, cancer, and others. Mental health issues can also arise from ED or contribute to it, like depression, low self-esteem, and anger.

Who does ED impact?

ED can impact men of all ages; however, it is most common in men 40 and older. Male arousal incorporates several internal systems and external stimulants that must work together in order for an erection to be possible. These include: the nervous and cardiovascular systems, brain, and hormones. What many men don’t like to admit or hear is that emotions play a serious role as well. If a man’s upset, frustrated, or stressed, he can experience more difficulty being aroused. Most, if not all, men will experience Erectile Dysfunction at some point in their lives. When it becomes a regular occurrence, it can be really debilitating for a man and his partner.

What to expect at your first visit?

A change! On a first visit to Alabama Men’s Clinic, most men are able to experience a preliminary treatment that provides immediate, effective results on their ED condition. Erectile Dysfunction is typically very treatable; most treatments have been found to be effective nearly 90 percent of the time. At AMC, we are confident in our treatments because we’ve seen the incredible impact they’ve had on so many of our patients. We work hard to help men get back the joy and fun of sex. There’s enough stress in the daily grind, we don’t want you to also have to deal with ED. Talk to one of our medical professionals today.

Signs and Symptoms

The primary signs of ED are:

Inability to achieve an erection

Inability to maintain an erection

Decreased sex drive

There are several symptoms and potential causes of ED. As stated before, some causes are more serious than others. If you are regularly experiencing these symptoms, you should consult a men’s sexual health, medical specialist to identify the cause and potential treatments.

Treatments and Side Effects

Thankfully, while ED does impact many men, it also comes with many treatment options. The wide variety of available ED treatments provides men with a range of options from more simplistic methods, like medications and stress relief, to more serious and extensive methods, like surgical implants. At Alabama Men’s Clinic, our medical, sexual health professionals are experienced in providing comprehensive treatment plans to help men find freedom from this debilitating condition.

Treatments include:

Oral/Sublingual Medications: Work by increasing blood flow to the penis enabling it to expand and become hard. It causes an erection when a man is sexually aroused. Examples: Sildenafil, Vardenafil, Tadalafil, and Avenafil. – Potential Side Effects

Vacuum Therapy: Cylinder mechanism withdraws air creating a vacuum and enhancing blood flow to the penis. Then, user must place a rubber ring at root of penis to keep the erection by trapping the blood. – Potential Side Effects

Penile Implants: Surgical procedure implants inflatable balloons, a pump, and a reservoir into the penis, scrotum, and near the bladder. Inflating the pump causes reservoir fluids to fill the balloons and cause an erection. We refer to an outside vendor for this. – Potential Side Effects

Intraurethral Suppositories: A small, medicated pellet is inserted into the tip of the penis. It relaxes the blood vessels enabling blood to flow into the penis to help cause an erection. MUSE is an example provider for this treatment. We refer to an outside vendor. – Potential Side Effects

Please note: The treatments listed above have potential side effects. Click on each treatment to find out more about it and to see a list of potential side effects. Each individual patient’s results and side effects may vary with each treatment.

Oral/Sublingual Medications: Sildenafil (Viagra), Vardenafil (Levitra), Tadalafil (Cialis), and Avenafil: Oral or sublingual medications work directly on the blood vessels, causing the arteries to the penis to expand. It can cause an erection when the man is sexually aroused.

Potential Side Effects: Headaches, facial flushing, backache, congestion, upset stomach, bluish tinge to vision or abnormal vision, hearing loss, and prolonged erections (priapism). These drugs cannot be taken with nitrates due to the possibility of decrease blood pressure. Caution should be used with Alpha blockers for prostate enlargement and/or high blood pressure due to the possibility of decreased blood pressure.

Vacuum Therapy: (a cylinder placed over the penis): By withdrawing air, a vacuum is created, mechanically enhancing the flow of blood into the penis. A rubber ring is placed at the base of the erect penis to trap blood and maintain the erection.

Injection Therapy: Tri-Mix, Caverject, Alprostadiol, Papaverine, Phentolamine: During this process, the patient uses a small needle to inject a powerful muscle relaxant into the base of the penis. The relaxation of the muscle tissue allows blood to flow into the erectile tissues in the penis, which can then create an erection.

Penile Implants: (requires a surgical intervention): Two inflatable balloons are implanted in the penis, as well as a pump into the scrotum and a reservoir near the bladder. When the pump is inflated, fluid from the reservoir flows into the inflatable balloons to help create an erection. (this treatment option available via referral to outside provider)

Potential Side Effects: Pain, inflammation, malfunction.

Intraurethral Suppositories(MUSE): The patient uses an applicator to insert a small pellet of medication into the opening of the penis. The medication causes blood vessels to relax, so the penis fills with blood and becomes erect. (this treatment option available via referral to outside provider)

Introducing Extracorporeal Shockwave Therapy

Alabama Men’s Clinic has now added Extracorporeal Shockwave Therapy (ESWT) to our treatment protocols. We are dedicated to offering a wide range of quality treatment options to our patients with Erectile Dysfunction. With no surgery, pills, or injections required, ESWT is a non-invasive treatment method for ED. ESWT results may vary depending on the individual. Best results typically require multiple treatments. Talk to one of our licensed providers to find out if ESWT could be right for you.

Low Testosterone

What is Low-T?

Low Testosterone is a medical condition in which a man displays a lower level of testosterone than is considered normal for his age bracket, height, weight, and other factors. A man who suffers with Low-T will oftentimes exhibit negative symptoms/health issues in more places than just in bed. There are multiple causes and symptoms of Low-T that can be concerning, which is why men should seek medical counsel if they exhibit symptoms of Low-T.

As a natural hormone, testosterone enables the male body to perform sexual functions, and it also enables men to build muscle, increase bone strength, and experience overall healthy living. This is another reason why it’s important for men to be aware of their testosterone level to help ensure they’re able to live healthy in every way.

Medical professionals will typically test testosterone levels using a standard blood test; however, sometimes, even with a test result that shows a man having a normal level of testosterone, he may still experience common Low-T symptoms.

Why Should Men Seek Treatment for Low-T?

Treating Low-T could completely revolutionize a man’s sex life and his overall health. Plus, dealing with the symptoms of Low Testosterone can really take a toll on a man’s overall wellbeing; dealing with symptoms like:

Weight gain

Muscle loss

Erectile Dysfunction

Depression

Hair Loss

Loss of sex drive

Fatigue

Decreased energy

Memory loss

Increased irritability

Loss of or low-quality sleep

With our licensed team of men’s sexual health, medical providers, we can help you find a treatment that could restore your testosterone levels and thus bring freedom from these crippling symptoms. For a lot of men, treating Low-T can provide a richer experience of all of life, including sex life.

What are the Causes of Low-T?

Low-T is most commonly caused by aging. Naturally, a man’s body will produce less testosterone as he ages; this loss does not always equate to a Low-T problem. But, in many cases, it does leave men with several of the symptoms listed before. Sadly, many men simply begin to live with a lower quality of life because they accept that as their new normal when they could maintain an active sex life and greater level of health with Low-T treatment. Oftentimes, with the help of a licensed medical professional, men can get their hormones to the right balance, experience healthier living, and enjoy a better sex life.

How is Low-T Diagnosed?

A basic blood test can inform a medical professional of your testosterone level.

How can Low-T Be Treated?

With hormone therapy and/or replacement, men can get their testosterone levels back in the “healthy” range. At the Alabama Men’s Clinic, our team of medical professionals help men identify if Low-T is affecting them, and we help them to determine their treatment options.

What are the potential side effects of Low-T treatment?

At the Alabama Men’s Clinic, we take regular blood tests of our patients who are using Low-T treatments to help detect potential side effects early, so that we can implement a correction plan right away if necessary.

Testosterone replacement: Worsening of prostate issues (BPH and prostate cancer) including increased risk of developing prostate cancer. Changes in red blood cell level, cholesterol or lipid levels, hormone levels, and PSA level. It can also cause permanent hair growth on face, chest, buttocks, or other areas of the body; head hair loss; mood or psychological changes such as increase anger or aggressive behavior; breast growth similar in appearance to that found in women; testicular shrinkage or atrophy; decreased sperm count leading to infertility; acne. It may worsen sleep apnea; cause tissue edema. It may cause the development or increase the risk of heart attack, strokes, blood clots, high blood pressure, other cardiovascular problems, and death in people with or without cardiovascular or heart disease.

Premature Ejaculation

What is Premature Ejaculation?

Premature Ejaculation (PE) is a men’s sexual health condition where a man will ejaculate early, earlier than he wants, oftentimes shortly after penetration with very minimal sexual stimulation. PE will usually cause tension, anxiety, and stress in relationships due to the unfulfilling sexual experience it causes. Having one instance or multiple rare occasions of Premature Ejaculation is common among men. Most will experience PE at least once in their lifetime. When a man begins to experience recurring Premature Ejaculation, then he should start to seek treatment.

What are the Causes of Premature Ejaculation?

There are several potential causes of PE, both psychological and biological. For example:

Psychological

Depression

Stress/anxiety

A new partner

Sexual abuse

Early sexual encounters

Relationship issues

Specific sexual situations

Biological

Hormonal imbalances

Brain chemical imbalances

Prostate issues

Erectile Dysfunction

An injury

Medication side effects

How is Premature Ejaculation diagnosed?

To receive an accurate diagnosis, it’s important for men to be honest with their medical provider. The medical professional needs to be able to identify what’s causing the PE to diagnose it and give treatment options. If the primary causes are psychological, then the man may be best served with de-stressing exercises or counseling. And, if the PE is caused by a physical condition, then treatment options may include wearing a condom or implementing distraction methods to somewhat decrease sensitivity and delay ejaculation.

Treatments for premature ejaculation?

There are a number of different possible treatments for Premature Ejaculation, including relaxation exercises, condom use, control techniques, gels or creams, and reducing alcohol use, among others. The treatment options depend on identifying the cause of PE for that individual, which may require some lab tests along with assessing symptoms. Connect with an Alabama Men’s Clinic medical provider and find out what treatment(s) could bring you freedom from Premature Ejaculation and allow for longer-lasting, more-satisfying sex for both you and your partner.

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